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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300612700
Report Date: 03/28/2023
Date Signed: 03/28/2023 12:48:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2023 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230307094355
FACILITY NAME:ORTIZ-FROSH, MARIAFACILITY NUMBER:
300612700
ADMINISTRATOR:ORTIZ-FROSH, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 832-0805
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:14CENSUS: 3DATE:
03/28/2023
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Maria Ortiz0-Frosh - LicenseeTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Children are left in a highchair for extended periods of time.
Licensee did not obtain the required forms for child's records.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Carmen Odom and Archibaldo Silva conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 03/10/23. At 8:50am, LPAs met with Licensee, Maria Ortiz-Frosh who guided LPA on a tour of the facility. Census was taken and there was a total of 3 infants in care with 1 assistant. Assistant was feeding 1 infant on the highchair, 1 infant playing and 1 infant in the playpen awake in the childcare room.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 8
Control Number 06-CC-20230307094355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTIZ-FROSH, MARIA
FACILITY NUMBER: 300612700
VISIT DATE: 03/28/2023
NARRATIVE
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The Department received a complaint on 03/07/23 alleging children are left in the highchair for extended periods of time and licensee did not obtain the required forms for child’s records. The complaint party (CP) alleged that on multiple occasions during pick up and drop off at different times CP observed C1 on the highchair along with other children with the TV on without food. CP stated Licensee did not request for immunization records of C1.

During the investigation LPA Odom interviewed Complaining Party, Licensee, 1 staff, and 3 parents. LPA Odom reviewed the Children’s Roster, children’s files, and pictures. None of the children qualified for interviews.

On 03/10/23 upon arrival LPAs met with Licensee who granted entrance into the facility through the front door. Licensee walked LPAs to the childcare area that is in a separate enclosed room towards the left of the home next the garage. LPAs observed 4 childcare children sitting on the highchairs at 9:00am. LPAs observed none of the children with food or drinks on the tables, the trays were clean, and children’s face and hands were clean. One out of the four children were a five-month infant (C2) sitting on the highchair propped with a blanket, LPA took picture. Licensee stated parent placed C2 on the highchair during drop off. Licensee stated C2 does not feed themselves and infant cannot hold their own bottle. Licensee stated that morning children ate breakfast from 8:00am to 8:30am.

During an interview on 03/10/23, Licensee (S1) stated the facility provides breakfast, lunch, and snack. Breakfast is served from 8:00am to 9:00am, depending as the children arrive. S1 stated the children sit on the highchairs only during breakfast for about 30 minutes and the children sit on the small tables and chairs for lunch and snacks. S1 stated the children do not sit on the highchair to watch TV or art activities. S1 stated if a child does not listen or misbehaves staff will speak with the child. S1 stated they did not have the immunization records for C1 because C1 was at the childcare for 2 days before CP decided to discontinue care. CP never provided copies of C1’s records.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 06-CC-20230307094355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTIZ-FROSH, MARIA
FACILITY NUMBER: 300612700
VISIT DATE: 03/28/2023
NARRATIVE
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During an interview on 03/10/23, Staff #2 (S2) stated children begin to arrive at the facility from 7:45am to 8:00am. During morning drop off parents place the children on the highchairs and breakfast is served from 8:30am to 9:30am. S2 stated the children only sit on the highchairs during breakfast time while watching TV. S2 disclosed C2 does not sit on the highchair for very long throughout the day. S2 stated on that day C2 was sitting on the highchair for 20 minutes. S2 stated if a child is not listening, or misbehaving staff will speak to the child.

LPA Silva attempted to interview 5 parents, however only 3 parents were available for interviews. None of the parents disclosed any concerns and all the parents are satisfied with the childcare facility.

Based on LPA’s facility inspection, observations, interviews conducted with complaint party, licensee, 1 assistant, 3 parents, and records reviewed it has been determined that childcare children sit on the highchair without food for an unknown period of time and licensee failed to obtain immunization records of C1. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

In the areas that were evaluated, the facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following citation under Personal Rights 102423(a)(4) and was issued today on the attached LIC 809D.

LPA Odom informed licensee Maria Ortiz-Frosh that this report dated 3/28/23 document 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Odom informed the licensee to provide a copy of this licensing report dated 3/28/23 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 06-CC-20230307094355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTIZ-FROSH, MARIA
FACILITY NUMBER: 300612700
VISIT DATE: 03/28/2023
NARRATIVE
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Exit interview conducted and report was reviewed with the licensee Maria Ortiz-Frosh in Spanish. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2023 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230307094355

FACILITY NAME:ORTIZ-FROSH, MARIAFACILITY NUMBER:
300612700
ADMINISTRATOR:ORTIZ-FROSH, MARIAFACILITY TYPE:
810
ADDRESS:12082 SKYWAY DRIVETELEPHONE:
(714) 832-0805
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:14CENSUS: 3DATE:
03/28/2023
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Maria Ortiz0-Frosh - LicenseeTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Licensee did not keep the home free from odor.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Carmen Odom and Archibaldo Silva conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 03/10/23. At 8:50am, LPAs met with Licensee, Maria Ortiz-Frosh who guided LPA on a tour of the facility. Census was taken and there was a total of 3 infants in care with 1 assistant. Assistant was feeding 1 infant on the highchair, 1 infant playing and 1 infant in the playpen awake in the childcare room.
A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 03/07/23 alleging licensee did not keep the home free from odor. The complaint party (CP) alleged the childcare room had a strong smell of bleach.

Continue to page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 06-CC-20230307094355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTIZ-FROSH, MARIA
FACILITY NUMBER: 300612700
VISIT DATE: 03/28/2023
NARRATIVE
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Page 2
During the investigation LPA Odom interviewed Complaining Party, Licensee, 1 staff, and 3 parents. LPA Odom reviewed the Children’s Roster. None of the children qualified for interviews.

On 03/10/23 upon arrival LPAs met with Licensee who granted entrance into the facility through the front door. Licensee walked LPAs to the childcare area that is in a separate enclosed room towards the left of the home next the garage. LPAs did not smell an odor of cleaning solutions or bleach. The facility was very clean and well kept. On today's visit LPAs did not smell an odor of cleaning solutions or bleach in the facility.

During an interview on 03/10/23, Licensee (S1) stated they clean the facility daily with different cleaning solutions, but they do not use bleach to clean the childcare facility. They clean the tables throughout the day and at the end of the day they will clean the childcare room, bedroom, and bathroom.

During an interview on 03/10/23, Staff #2 (S2) stated the facility is cleaned everyday by using the product Fabuloso at the end of the day.

LPA Silva attempted to interview 5 parents, however only 3 parents were available for interviews. None of the parents disclosed any concerns and all the parents are satisfied with the childcare facility.

Based on LPA’s facility inspection, observations, interviews conducted with complaint party, licensee, 1 assistant, and 3 parents interviews it has been determined there was insufficient evidence that the facility has a strong bleach smell. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted and report was reviewed with the licensee Maria Ortiz-Frosh in Spanish. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 8 of 8
Control Number 06-CC-20230307094355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ORTIZ-FROSH, MARIA
FACILITY NUMBER: 300612700
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2023
Section Cited
CCR
102423(a)(4)
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102423(a)(2) Personal Rights Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by:
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Licensee immediately removed the children from the highchairs. Licensee stated they only sit the childcare children in the morning for breakfast. Licensee understands that children are only suppose to sit on the highchairs when they are eating or drinking.
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Based on observation and interviews LPAs observed on 3/10/23 at 9:00am 4 childcare children were sitting on the highchairs without any food or drinks on the tables. The tray were clean. This poses an immediate safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 06-CC-20230307094355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ORTIZ-FROSH, MARIA
FACILITY NUMBER: 300612700
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2023
Section Cited
CCR
102418(g)
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102418(g) Immunization. Licensee shall document and maintain each child’s immunizations as long as the child is enrolled. This Requirement is not met as evidenced by:
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Licensee stated they will make sure they obtain children's records and immunizations before the childcare child begins to attend the childcare facility.
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Based on review of children records, Licensee did not obtain C1’s immunization records and was missing blue card in file.
This poses a potential health and safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 8